Dental Board of California
Licensing details for: 25630
Name: SONG, DAE HYUNG
License Type: Dentist
Primary Status: Current - Active
Previous Names: SONG, DAE
Address of Record
3129 N San Fernando Rd
LOS ANGELES CA 90065-1412
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DAE HYUNG SONG, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 5402 Primary Status: Expired
Address :
6011 PACIFIC BLVD STE 120
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DAE H. SONG DDS INC
License/Registration Type: Additional Office Permit
License Number: 10951 Primary Status: Current - Active
Address :
824 S. ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR SONG 8TH AND ALVARADO FAMILY DENTAL GROUP, DAE H. SONG, DDS, I
License/Registration Type: Fictitious Name Permit
License Number: 10254 Primary Status: Current - Active
Address :
824 S. ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR. SONG SAN FERNANDO FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 998 Primary Status: Current - Active
Address :
3129 SAN FERNANDO ROAD
LOS ANGELES CA 90065
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR. SONG BELGRAVE FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 997 Primary Status: Expired
Address :
6011 PACIFIC BLVD. STE 120
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DR SONG 8TH AND ALVARADO FAMILY DENTAL GROUP, DAE H. SONG, DDS, I
License/Registration Type: Fictitious Name Permit
License Number: 10254 Primary Status: Current - Active
Address :
824 S. ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DR. SONG BELGRAVE FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 997 Primary Status: Expired
Address :
6011 PACIFIC BLVD. STE 120
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DR. SONG SAN FERNANDO FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 998 Primary Status: Current - Active
Address :
3129 SAN FERNANDO ROAD
LOS ANGELES CA 90065
LOS ANGELES COUNTY
